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-6-1仔细阅读
Whentherightpersonisholdingtherightjobattherightmoment,
thatperson,sinfluenceisgreatlyexpanded.Thatisthepositionin
whichJanetYellen,whoisexpectedtobeconfirmedasthenextchair
oftheFederalReserveBank(Fed)inJanuary,nowfindsherself.Ifyou
believe,asmanydo,thatunemploymentisthemajoreconomicandsocial
concernofourday,thenitisnostretchtothinkYellenisthenost
powerfulpersonintheworldrightnow.
Throughoutthefinancialcrisisandtherecessionandrecoverythat
followed,centralbankshavetakenontheroleofstimulatorsoflast
resort,holdinguptheglobaleconomywithvastamountsofmoneyinthe
formofassetbuying.Yellen,previouslyaFedvicechair,wasoneof
theprincipalarchitectsoftheFed's$3.8trillionmoneydump.Astar
economistknownforhergroundbreakingworkonlabormarkets,Yellen
wasakindofprophetessearlyoninthecrisisforherwarningsaoout
thesubprime(次级债)meltdown.NowitwillbeherjobtogettheFed
andthemarketsoutofthebiggestandmostunconventionalmonetary
programinhistorywithoutderai1ingthefragilerecovery.
ThegoodnewsisthatYellen,67,isparticularlywellsuitedtomeet
thesechallenges.Shehasakeenunderstandingoffinancialmarkets,an
appreciationfortheirimperfectionsandastrongbeliefthathuman
sufferingwasmorerelatedtounemploymentthananythingelse.
SomeexpertsworrythatYellenwillbeinclinedtochaseunemployment
totheneglectofinflation.Butwithwagesstillrelativelyflatand
theeconomyincreasinglydividedbetweenthewell-offandthelong-term
unemployed,morepeopleworryabouttheopposite,deflation(通货紧缩)
thatwouldaggravatetheeconomy'sproblems.
Eitherway,theincomingFedchiefwillhavetowalkafinelinein
slowlyendingthestimulus.Ttmustbesteadyenoughtodeflatebubbles
(去泡沫)andbringmarketsbackdowntoearthbutnotsoquickthatit
createsanothercreditcrisis.
UnlikemanypastFedleaders,Yellenisnotonetobuyintothefinance
industry,sargumentthatitshouldbeleftalonetoregulateitself.
SheknowsallalongtheFedhasbeentooslackonregulationoffinance.
Yellenislikelytoaddresstheissuerightaftershepushes
unemploymentbelow6%,stabilizesmarketsandmakessurethatthe
recoveryismoreinclusiveandrobust.AsPrincetonProfessorAlan
Blindersays,"She'ssmartasawhip,deeplylogical,wi11ingtoargue
butalsoagoodlistener.Shecanpersuadewithoutcreatinghostility.〃
Allthosetraitswillbeusefulastheglobaleconomy'snewpDwer
playertakesonitsnostannoyingproblems.
注意:此部分试题请在答题卡2上作答。
56.WhatdomanypeoplethinkisthebiggestproblemfacingJanet
Yellen?
A)Lackofmoney.
B)Subprimecrisis.
C)Unemployment.
D)Socialinstability.
57.WhatdidYellenhelptheFeddototacklethefinancialcrisis?
A)Takeeffectivemeasurestocurbinflation.
B)DeflatethebubblesintheAmericaneconomy.
C)Formulatepoliciestohelpfinancialinstitutions.
D)Pourmoneyintothemarketthroughassetbuying.
58.Whatisagreaterconcernofthegeneralpublic?
A)Recession.B)Deflation.C)Inequality.D)Income.
59.WhatisYellenlikelytodoinherpositionastheFedchief?
A)Developanewmonetaryprogram.B)Restorepublicconfidence.
C)Tightenfinancialregulation.D)Reformthecreditsystem.
60.HowdoesAlanBlinderportrayYellen?
A)Shepossessesstrongpersuasivepower.
C)Sheisoneoftheworld'sgreatesteconomists.
B)Shehasconfidenceinwhatsheisdoing.
D)SheisthemostpowerfulFedchiefinhistory.
PassageTwo
Questions61to65arebasedonthefollowingpassage.
Airpollutionisdeterioratinginmanyplacesaroundtheworld.The
factthatpublicparksincitiesbecomecrowdedassoonasthesun
shinesprovesthatpeoplelongtobreatheingreen,openspaces.They
donotallknowwhattheyareseekingbuttheyflockthere,
nevertheless.And,inthesesurroundings,theyaregenerallyboth
peacefulandpeaceable.Itisraretoseepeoplefightinginagarden.
Perhapsstruggleunfoldsfirst,notataneconomicorsociallevel,but
overtheappropriationofair,essentialtolifeitself.Ifhuman
beingscanbreatheandshareair,theydon'tneedtostrugglewithone
another.
Unfortunately,inourwesterntradition,neithermaterialistnor
idealisttheoreticiansgiveenoughconsiderationtothisbasic
conditionforlife.Asforpoliticians,despiteproposingcurbson
environmentalpollution,theyhavenotyetcalledforittobemadea
crime.Wealthycountriesareevenallowedtopolluteiftheypayforit.
Butisourlifeworthanythingotherthanmoney?Theplantworldshows
usinsilencewhatfaithfulnesstolifeconsistsof.Italsohelpsus
toanewbeginning,urgingustocareforourbreath,notonlyata
vitalbutalsoataspirituallevel.Theinterdependencetowhichwe
mustpaytheclosestattentionisthatwhichexistsbetweenourselves
andtheplantworld.Oftendescribedas"thelungsoftheplanet”,the
woodsthatcovertheearthofferusthegiftofbreathableairby
releasingoxygen.Buttheircapacitytorenewtheairpollutedby
industryhaslongreacheditslimit.Ifwelacktheairnecessaryfora
healthylife,itisbecausewehavefilleditwithchemicalsand
undercuttheabilityofplantstoregenerateit.Asweknow,rapid
deforestationcombinedwiththemassiveburningoffossilfuelsisan
explosiverecipeforanirreversibledisaster.
Thefightovertheappropriationofresourceswillleadtheentire
planettohellunlesshumanslearntosharelife,bothwitheachother
andwithplants.Thistaskissimultaneouslyethicalandpolitical
becauseitcanbedischargedonlywheneachtakesituponherselfor
himselfandonlywhenitisaccomplishedtogetherwithothers.The
lessontaughtbyplantsisthatsharinglifeexpandsandenhancesthe
sphereoftheliving,whiledividinglifeintoso-callednaturalor
humanresourcesdiminishesit.Wemustcometoviewtheair,theplants
andourselvesasthecontributorstothepreservationoflifeand
growth,ratherthanawebofquantifiableobjectsorproductive
potentialitiesatourdisposal.Perhapsthenwewouldfinallybeginto
1ive,ratherthanbeingconcernedwithbaresurvival.
注意:此部分试题请在答题卡2上作答。
61.Whatdoestheauthorassumemightbetheprimaryreasonthatpeople
wouldstrugglewitheachother?
A)Togettheirshareofcleanair.B)Topursueacomfortablelife.
C)Togainahighersocialstatus.D)Toseekeconomicbenefits.
62.Whatdoestheauthoraccusewesternpoliticiansof?
A)Deprivingcommonpeopleoftherighttocleanair.
B)Givingprioritytotheoryratherthanpracticalaction.
C)Offeringpreferentialtreatmenttowealthycountries.
D)Failingtopasslawstocurbenvironmentalpollution.
63.Whatdoestheauthortrytodrawourclosestattentionto?
A)Themassiveburningoffossilfuels.
B)Ourrelationshiptotheplantworld.
C)Thecapacityofplantstorenewpollutedair.
D)Large-scaledeforestationacrosstheworld.
64.Howcanhumanbeingsaccomplishthegoalofprotectingtheplanet
accordingtotheauthor?
A)Byshowingrespectforplants.
B)Bypreservingallformsoflife.
C)Bytappingal1naturalresources.
D)Bypoolingtheireffortstogether.
65.Whatdoestheauthorsuggestwedoinordernotjusttosurvive?
A)Expandthesphereofliving.
B)Developnature'spotentials.
C)Sharelifewithnature.
D)Allocatetheresources.
PartVITranslation(30minutes)
Directions:Forthispart,youareallowed30minutestotranslatea
passagefromChineseintoEnglish.Youshouldwriteyouransweron
AnswerSheet2.
中国老式待客之道规定饭菜丰富多样,让客人吃不完。中国宴席上经典菜单
包括开席一套凉菜及其后热菜,例如肉类、鸡鸭、蔬菜等。大多数宴席上,全鱼
被认为是必不可少,除非已经上过各式海鲜。目前,中国人爱慕把西方特色菜和
老式中式菜肴融干一席,因此牛排匕桌也不少见,沙拉也已流行起来,尽管老式
上中国人一般不吃任何未经烹妊菜肴,宴席一般至少有一道汤,可以最先或最终
上桌,甜点和水果一般标志宴席结束。
-6-2
r11admitI'veneverquiteunderstoodtheobsession(难以破除成见)
surroundinggeneticallymodified(GM)crops.Toenvironmentalist
opponents,GMfoodsaresimplyevil,anunderstudied,possiblyharmful
toolusedbybigagriculturalbusinessestocontrolglobalseedmarkets
andcrushlocalfarmers.TheyarguethatGMfoodshaveneverdelivered
ontheirsupposedpromise,thatmoneyspentonGMcropswouldbebetter
channeledtoorganicfarmingandthatconsumersshouldbeprotected
withwarninglabelsonanyproductsthatcontaingeneticallymodified
ingredients.Tosupporters,GMcropsareakeypartoftheeffortto
sustainablyprovidefoodtomeetagrowingglobalpopulation.ButJiorc
thanthat,supportersseetheGMoppositionofmanyenvironmentalists
asfundamentallyanti-science,nodifferentthanthosewhoquestionthe
basicsofman-madeclimatechange.
Forbothsides,GMfoodsseemtoactasasymbol:you*repro-
agriculturalbusinessoranti-science.Butscienceisexactlywha:we
needmoreofwhenitcomestoGMfoods,whichiswhyIwashappytosee
NaturedevoteaspecialseriesofarticlestotheGMfoodcontroversy.
Theconclusion:whileGMcropshaven'tyetrealizedtheirinitial
promiseandhavebeendominatedbyagriculturalbusinesses,thereis
reasontocontinuetouseanddeveloptheirtohelpmeettheenormous
challengeofSustainablyfeedingagrowingplanet.
Thatdoesn'tmeanGMcropsareperfect,oraone-size-fits-al1
solutiontoglobalagricultureproblems.Butanythingthatcanincrease
farmingefficiency-theamountofcropswecanproduceperacreof
land-willbeextremelyuseful.GMcropscanandalmostcertainlywill
bepartofthatsuiteoftools,butsowilltraditionalplantbreeding,
improvedsoilandcropmanagement-andperhapsmostimportantofall,
betterstorageandtransportinfrastructure(基础设施),especiallyin
thedevelopingworld.(Itdoesn,tdomuchgoodforfarmersinplaces
likesub-SaharanAfricatoproducemorefoodiftheycan,tgetiLto
hungryconsumers.)I'dliketoseemorenon-industryresearchdoneon
GMcrops-notjustbecausewe'dworry
lessaboutbias,butalsobecauseseedcompanieslikeMonsantoand
Pioneershouldn,tbetheonlyentitiesworkingtoharnessgenetic
modification.I'dliketoseeGMresearchonlesscommercialcrops,
likecorn.Idon*tthinkit'svitaltolabelGMingredientsinfood,
butIalsowouldn'tbeagainstit-andindustrywouldbesmarttogo
alongwithlabeling,justasawayofremovingfearsaboutthe
technology.
Mostofall,though,Iwishatenthoftheenergythat*sspent
endlesslydebatingGMcropswasfocused
onthosemorepressingchallengesforglobalagriculture.Thereare
muchbiggerbattlestofight.
56.HowdoenvironmentalistopponentsviewGMfoodsaccordingtothe
passage?
A.Theywilleventuallyruinagricultureandtheenvironment.
B.Theyareusedbybigbusinessestomonopolizeagriculture.
C.Theyhaveprovedpotentiallyharmfultoconsumers1health.
D.Theyposeatremendousthreattocurrentfarmingpractice.
57.Whatdoestheauthorsayisvitaltosolvingthecontroversy
betweenthetwosidesofthedebate?
A.BreakingtheGMfoodmonopoly.
B.Morefriendlyexchangeofideas.
C.RegulatingGMfoodproduction.
D.MorescientificresearchonGMcrops.
58.WhatisthemainpointoftheNaturearticles?
A.FeedingthegrowingpopulationmakesitimperativetodevelopGM
crops.
B.PopularizingGMtechnologywillhelpittoliveuptoitsinitial
promises.
C.MeasuresshouldbetakentoensurethesafetyofGMfoods.
D.Bothsupportersandopponentsshouldmakecompromises.
59.Whatistheauthor*sviewonthesolutiontoagriculturalproblems?
A.IthastodependnoreandmoreonGMtechnology.
B.Itisvitaltothesustainabledevelopmentofhumansociety.
C.GMcropsshouldbealloweduntilbetteralternativesarefound.
D.Whateverisusefultoboostfarmingefficiencyshouldbeencouraged.
60.WhatdoestheauthorthinkoftheongoingdebatearoundGMcrops?
A.Itarisesoutofignoranceofandprejudiceagainstnewscience.
B.Itdistractsthepublicattentionfromotherkeyissuesoftheworld.
C.Effortsspentonitshouldbeturnedtomoreurgentissuesof
agriculture.
D.Neithersideislikelytogiveinuntilmoreconvincingevidenceis
found.
PassageTwo
Earlydecision-youapplytooneschool,andadmissionisbinding-
-seemslikeagreatchoicefornervousapplicants.Schoolsletina
higherpercentageofearly-decisionapplicants,whicharguablymeans
thatyouhaveabetterchanceofgettingin.Andifyoudo,you'redone
withthewholeagonizingprocessbyDecember.Butwhatmoststudents
andparentsdon,trealizeisthatschoolshavehiddenmotivesfor
offeringearlydecision.
Earlydecision,sinceit'sbinding,allowsschoolstofilltheir
classeswithqualifiedstudents;itallowsadmissionscommitteesto
selectthestudentsthatareinparticulardemandfortheircollegeand
knowthosestudentswillcome.Italsogivesschoolsahigheryield
rate,whichisoftenusedasoneofthewaystomeasurecollege
selectivityandpopularity.
Theproblemisthatthisprocesseffectivelyshortensthewindow
oftimestudentshavetomakeoneofthemostimportantdecisionsof
theirlivesuptothatpoint.Underregularadmissions,seniorshave
untilMay1tochoosewhichschooltoattend;earlydecision
effectivelystealssixmonthsfromthem,monthsthatcouldbeusedto
visitmoreschools,domoreresearch,speaktocurrentstudentsand
alumni(校友)andarguablymakeamoreinformeddecision.
Thereare,frankly,anastonishingnumberofexceptionalcolleges
inAmerica,andforanygivenstudent,thereareanumberofschools
thatareagreatfit.Whenstudentsbecometoofixated(专注)ona
particularschoolearlyintheadmissionsprocess,thatfixationcan
leadtoseveredisappointmentiftheydon,tgetinor,iftheydo,the
possibilitythattheyarenowboundtogotoaschoolthat,giventime
forfartherreflection,maynotactuallyberightforthem.
Insofarasearlydecisionoffersagenuineadmissionsedge,that
advantagegoeslargelytostudentswhoalreadyhavenumerousadvantages.
Thestudentswhouseearlydecisiontendtobethosewhohavereceived
higher-qualitycollegeguidance,usuallyaresultofcomingfromamore
privilegedbackground.Inthisregard,there'sanargumentagainst
earlydecision,asstudentsfromlower-incomefamiliesarefarless
likelytohavetheadmissionsknow-howtonavigatetheoftenconfusing
earlydeadlines.
Studentswhohavedonetheirresearchandareconfidentthat
there,soneschooltheywouldbethrilledtogetintoshould,underthe
currentsystem,probablyapplyunderearlydecision.Butforstudents
whohaven*tyetdoneenoughresearch,orwhoarestillconstantly
changingtheirmindsonfavoriteschools,theearly-decisionsystem
needlesslyandprematurelynarrowsthefieldofpossibilityjustata
timewhenstudentsshouldbeopeningthemselvestoawholerangeof
thrillingoptions.
注意:此部分试题请在答题卡2上作答。
61.Whatarestudentsobligedtodounderearlydecision?
A.Lookintoalotofschoolsbeforetheyapply.
B.Attendtheschooloncetheyareadmitted.
C.Thinktwicebeforetheyaccepttheoffer.
D.Consultthecurrentstudentsandalumni.
62.Whydoschoolsofferearlydecision?
A.Tomakesuretheygetqualifiedstudents.
B.Toavoidcompetitionwithothercolleges.
C.Toprovidemoreopportunitiesforapplicants.
D.Tosavestudentstheagonyofchoosingaschool.
63.Whatissaidtobetheproblemwithearlydecisionforstudents?
A.Itmakestheirapplicationprocessmorecomplicated.
B.Itplacestoohighademandontheirresearchability.
C.Itallowsthemlittletimetomakeinformeddecisions.
D.Itexertsmuchmorepsychologicalpressureonthem.
64.Whyaresomepeopleopposedtoearlydecision?
A.Itinterfereswithstudents'learninginhighschool.
B.Itisbiasedagainststudentsatordinaryhighschools.
C.Itcausesunnecessaryconfusionamongcollegeapplicants.
D.Itplacesstudentsfromlower-incomefamiliesatadisadvantage.
65.Whatdoestheauthoradvisecollegeapplicantstodo?
A.Refrainfromcompetingwithstudentsfromprivilegedfamilies.
B.Avoidchoosingearlydecisionunlesstheyarefullyprepared.
C.Findsufficientinformationabouttheirfavoriteschools.
D.Lookbeyondthefewsupposedlythril1ingoptions.
Directions:Forthispart,youareallowed30minutestotranslatea
passagefromChineseintoEnglish.Youshouldwriteyouransweron
AnswerSheet2.
是中国都市化(urbanization)进程中历史性时刻,其都市人口初次超过农
村人口。在未来里,估计约有3.5亿农村人口将移居到都市。如此规模都市发
展对都市交通来说既是挑战,也是机遇。中国政府一直倡导“以人为本''发展
理念,强调大家以公交而不是私V一$-出行。它还号召建设“资源节省和环境友
好型”社会。有了这个明确目的,中国都市就可以愈加好地计划其发展,并把大
量投资转向安全、清洁和经济型交通系统发展上。
-6-3
ThereportfromtheBureauofLaborStatisticswasjustasgloomyas
anticipated.UnemploymentinJanuaryjumpedtoa16一yearhighof7.6
percent,as598000jobswereslashedfromUSpayrollsintheworst
single-monthdeclinesinceDecember,1974.With1.8millioniobslost
inthelastthreemonths,thereisurgentdesiretoboosttheeconomy
asquicklyaspossible.ButWashingtonwoulddowelltotakeadeep
breathbeforereactingtothegrimnumbers.
Collectively,werelyontheunemploymentfiguresandother
statisticstoframeoursenseofreality.Theyareavitalpartofan
arrayofdatathatweusetoassessifwe'redoingwellordoing
badly,andthatinturnshapesgovernmentpoliciesandcorporate
budgetsandpersonalspendingdecisions.Theproblemisthatthe
statisticsaren?tanobjectivemeasureofreality;theyaresimplya
bestapproximation.Directionally,theycapturethetrends,butthe
ideathatweknowpreciselyhowmanyareunemployedisamyth.That
makesfindingasolutionallthemoredifficult.
First,thereisthewaythedataisassembled.Theofficial
unemploymentrateistheproductofatelephonesurveyofabout60000
homes.Thereisanothersurvey,sometimesreferredtoastheupayroll
survey,“thatassesses400000businessesbasedontheirreported
payrolls.Bothsurveyshaveproblems.Thepayrollsurveycaneasily
double-countsomeone:ifyouareonepersonwithtwojobs,youshowup
astwoworkers.Thepayrol1surveyalsodoesn,tcapturethenumberof
self,employed,andsosayslittleabouthowmanypeoplearegenerating
anindependentincome.
Thehouseholdsurveyhasalargerproblem.Whenasked
straightforward1y,peopletendtolieorshadethetruthwhenthe
subjectissex,moneyoremployment.Tfyougetacallandareaskedif
you'reemployed,andyousayyes,you'reemployed.IfyousaynO,
however,itmaysurpriseyoutolearnthat.Youareonlyunemployedif
you*vebeenactivelylookingforworkinthepastfourweeks;
otherwise,youare0marginallyattachedtothelaborforce”andnot
actuallyunemployed.
Hieurgetoquantifyisembeddedinoursociety.Buttheideathat
statisticianscanthencaptureanobjectiverealin-im,tjust
impossible.Italsoleadstoseriousmisjudgments.Democratsand
Repub1icanscanand、”Utakesidesonanumberofissues,butanore
crucialconcernisthatbotharebasingmajorpolicydecisionson
guesstimatesratherthanlookingatthevastwealthofrawdatawitha
criticaleyeandanopenmind.
注意:此部分试题请在答题卡2上作答。
56.Whatdowelearnfromthefirstparagraph?
A.USeconomicsituationisgoingfrombadtoworse.
B.Washingtonistakingdrasticmeasurestoprovidemorejobs.
C.USgovernmentisslashingmorejobsfromitspayrolls.
D.TherecenteconomiccrisishastakentheUSbysurprise.
57.、Whatdocstheauthorthinkoftheunemploymentfiguresandother
statistics?
A.Theyformasolidbasisforpolicymakin9.
B.Theyrepresentthecurrentsituation.
C.Theysignalfutureeconomictrend.
D.Theydonotfullyreflectthereality.
58.Oneproblemwiththepayrollsurveyisthat.
A.itdoesnotincludeallthebusinesses
B.itfailstocountintheself-employed
C.itmagnifiesthenumberofthejobless
D.itdoesnottreatal1companiesequally
59.Hiehouseholdsurveycanbefaultyinthat.
A.peopletendtoliewhentalkingonthephone
B.noteverybodyiswillingorreadytorespond
C.somepeoplewon*tprovidetruthfulinformation
D.thedefinitionofunemploymentistoobroad
60.Attheendofthepassage,theauthorsuggeststhat.
A.statisticiansimprovetheirdataassemblingmethods
B.decisionmakersviewthestatisticswithacriticaleye
C.politicianslistenmorebeforemakingpolicydecisions
D.DemocratsandRepublicanscooperateoncrucialissuesPassageTwo
Sheet2.
汉朝是中国历史上最关键朝代之一。汉朝统治期间有诸多明显成就。它最先
向其他文化敞开大门,对外贸易兴旺。汉朝开拓丝绸之路通向了中西亚乃至罗
马。各类艺术一派繁华,涌现了诸多文学、历史、哲学巨著。公元1中国第一部
字典编撰完毕,收入9000个字,提供释义并列举不一样样写法:英间,科技方
面也获得了很大进步,发明了纸张、水钟、日展(sundials)和测量地震仪器。汉
朝历经4,但统治者腐败最终导致了它灭亡。
注意:此部分试题请在答题卡2上作答。
Add
Sayingtheycannolongerignoretherisingpricesofhealthcare,some
ofthemostinfluentialmedicalgroupsinthenationarerecommending
thatdoctorsweighthecosts,notjusttheeffectivenessoftreatment,
astheymakedecisionsaboutpatientcare.
Theshift,littlenoticedoutsidethemedicalestablishmentbut
alreadycontroversialinsideit,suggeststhatdoctorsarestartingto
redefinetheirroles,frombeingconcernedexclusivelyaboutindividual
patientstoexertinginfluenceonhowhealthcaredollarsarespent.
Tnpracticalterms,thenewguidelinesbeingdevelopedcouldresult
indoctorschoosingonedrugoveranotherforcostreasonsoreven
decidingthataparticulartreatment-attheendoflife,forexample-is
tooexpensive.Intheextreme,somecriticshavesaidthatmaking
treatmentdecisionsbasedoncostisaformofrationing.
Traditionally,guidelineshaveheavilyinfluencedthepracticeof
medicine,andthelatestonesareexpectedtomakedoctorsmore
consciousoftheeconomicconsequencesoftheirdecisions,eventhough
there,snoobligationtofollowthem.Medicalsocietyguidelinesare
alsousedbyinsurancecompaniestohelpdeterminereimbursement(JR
销)policies.
Somedoctorsseeapotentialconflictintryingtobeboth
providersofpatientcareandfinancialoverseers.
Thereshouldbeforcesinsocietywhoshouldbeconcernedabout
thebudget,buttheyshouldn'tbefunctioningsimultaneouslyas
doctors,〃saidDr.MartinSamuelsataBostonhospital.Hesaiddoctors
riskedlosingthetrustofpatientsiftheytoldpatients,"I'mnot
goingtodowhatIthinkisbestforyoubecauseIthinkit'sbadfor
thehealthcarebudgetinMassachusetts.〃
Doctorscanfacesomegrimtrade-offs.Studieshaveshown,for
example,thattwodrugsareaboutequallyeffectiveintreatingmacalar
degeneration,aneyedisease.Butonecosts$50acloseandtheother
closeto$2,000.Medicarecouldsavehundredsofmillionsofdollarsa
yearifeveryoneusedthecheaperdrug.Avastin,insteadofthe
costlierone,Lucentis.
ButtheFoodandDrugAdministrationhasnoteipprovedAvastinfor
useintheeye,andusingitratherthanthealternative,Lucentis,
mightcarryanadditional,althoughslight,safetyrisk.Shoulddoctors
considerMedicare'sbudgetindecidingwhattouse?
thinkethical
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